BRADLEY WAGNER (NPI# 1750776605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750776605 |
| Entity Type | Individual |
| Full Name | BRADLEY WAGNER |
| Practice Address |
1655 Tamiami Trl Port Charlotte FL 33948-1042 |
| Practice Telephone | 9416234918 |
| Mailing Telephone | 9416234918 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | AS3407 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043581770 | Bradley Thomas Wagner | Nurse Anesthetist, Certified Registered | 3314 Leyton Ln, Madison, WI 53713-3407 | 2012-01-26 |
| 1720583842 | Bradley Jay Wagner | Counselor | 1321 Wyoming St, Missoula, MT 59801-1725 | 2018-03-29 |
| 1184766362 | Bradley Mann Wagner | Physical Therapist | 616 Executive Park, Louisville, KY 40207-4206 | 2007-02-13 |
| Street Address |
1655 TAMIAMI TRL |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740341700 | Beverly J Anarumo | Pediatrics | 1655 Tamiami Trl, Bldg 6, Port Charlotte, FL 33948-1042 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972095180 | Hear Again LLC | Hearing Instrument Specialist | 2811 Tamiami Trail, Suite H, Port Charlotte, FL 33952-5135 | 2018-06-04 |
| 1407365125 | Eric Movshin | Hearing Instrument Specialist | 19451 Cochran Blvd Unit 200, Port Charlotte, FL 33948-2040 | 2017-09-26 |
| 1588116560 | Nanci Lekov | Hearing Instrument Specialist | 950 Tamiami Trl Unit 103, Port Charlotte, FL 33953-3102 | 2016-10-26 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| 1407178486 | Grant Edward Stevens | Hearing Instrument Specialist | 2866 Tamiami Trl Ste D, Port Charlotte, FL 33952 | 2010-02-18 |
| 1518299528 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 3052 Harbor Blvd., Unit 1, Port Charlotte, FL 33952 | 2010-02-02 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1841419736 | Robert C Watts | Hearing Instrument Specialist | 4055 Tamiami Tr Unit 40, Port Charlotte, FL 33952 | 2007-04-25 |
| 1134233687 | Marco A Moor | Hearing Instrument Specialist | 2221c Tamiami Trl, Port Charlotte, FL 33948-2104 | 2006-08-19 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
Please comment or provide details below to improve the information on BRADLEY WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.